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WENDELL WILD LCSW-R
NPI 1053683011
Social Worker - School in Orchard Park, NY

Active since February 06, 2012PECOS Enrolled
70 LINWOOD AVE, ORCHARD PARK, NY 14127(716) 675-9232 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wendell Wild Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDELL WILD LCSW-R (NPI 1053683011) is an individual school provider in Orchard Park, New York, licensed in New York (R033870-1) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1053683011
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameWENDELL WILDCredential: LCSW-R
Location Address70 LINWOOD AVEOrchard Park, NY 14127-2308
Mailing Address70 Linwood AveOrchard Park, NY 14127-2308 · (716) 675-9232 · Fax (716) 675-9217
Phone(716) 675-9232
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 6, 2012
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1053683011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NY · R033870-1
70 LINWOOD AVE, Orchard Park, NY 14127
Open in Google Maps ↗

Other Identifiers 1

Medicaid166001554NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendell Wild Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173881182
PECOS Enrollment IDI20171221000799
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIN CORNELIUS PH.D.
Psychologist (Counseling)
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 675-9232
NANCY J SKELTON LCSW
Social Worker
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 675-9232
MR. JOSEPH JOHN MONACO
Social Worker (Clinical)
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 675-9232
STEPHEN M GILMARTIN LCSW-R
Social Worker
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 675-9232
ABIGAIL M SPECHT
Nurse Practitioner (Psychiatric/Mental Health)
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 675-9232
DR. SALLY J BRIGGS PHD
Psychologist
70 LINWOOD AVE
ORCHARD PARK, NY 14127
Erie County (716) 836-9460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendell Wild's NPI number?

The NPI number for Wendell Wild is 1053683011. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Wendell Wild located?

Wendell Wild practices at 70 Linwood Ave, Orchard Park, NY 14127. The listed phone number is (716) 675-9232.

What is Wendell Wild's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Wendell Wild enrolled in Medicare?

Yes. Wendell Wild is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wendell Wild was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.